Siew An Ling, Wong Jing Wen, Chan Ee-Yuee
Department of Nursing, Tan Tock Seng Hospital, National Healthcare Group, Singapore, Singapore.
Faculty of Arts and Social Science, National University of Singapore, Singapore, Singapore.
Nurse Educ Today. 2021 May;100:104856. doi: 10.1016/j.nedt.2021.104856. Epub 2021 Mar 11.
Global healthcare systems are adapting to meet the demands of an aging population. It is essential to prepare our healthcare workers on complex and unique issues in the treatment of older adults. Past studies have shown that simulated patients are a valuable teaching tool in training current and prospective healthcare professionals. Few studies have examined its use in the geriatric context.
This scoping review presents the effectiveness of simulated patients in healthcare education for geriatric care and eldercare purposes among current and prospective healthcare professionals.
Search on CINAHL, Cochrane, ScienceDirect and Medline were completed on studies published between January 2009 to January 2020. A manual hand searching of reference lists for relevant articles was also conducted.
This scoping review follows the methods of Arksey and O-Malley to synthesize the literature on simulated patients in the teaching of geriatric care to current and prospective healthcare professionals. Inclusion criteria were, primary studies, with full-text articles, and in English.
Fifteen articles were included in this review. These articles were of wide variation by study design, settings, populations. Four broad themes were identified from existing literature: (i) improvement in geriatric knowledge, (ii) improvement in technical and non-technical skills, (iii) greater confidence in clinical and non-clinical skills, and (iv) learners' perception towards simulation as a learning pedagogy.
Simulated patients may have potential in improving geriatric education. Students generally enjoyed the learning methodology, finding it engaging and easy to learn by practising. Future studies could consider engaging simulated patients in the teaching pedagogy of geriatric teaching for current or prospective healthcare professionals.
全球医疗保健系统正在进行调整，以满足老龄化人口的需求。让我们的医护人员做好准备，应对老年人治疗中复杂且独特的问题至关重要。过去的研究表明，模拟患者是培训现有和未来医护专业人员的宝贵教学工具。很少有研究探讨其在老年护理背景下的应用。
本范围综述介绍了模拟患者在当前和未来医护专业人员的老年护理和养老保健教育中的有效性。
在CINAHL、Cochrane、ScienceDirect和Medline上搜索了2009年1月至2020年1月发表的研究。还对手动检索相关文章的参考文献列表进行了检索。
本范围综述遵循Arksey和O-Malley的方法，综合有关模拟患者在向当前和未来医护专业人员进行老年护理教学方面的文献。纳入标准为：全文文章形式的原始研究，且语言为英语。
本综述纳入了15篇文章。这些文章在研究设计、环境、人群方面差异很大。从现有文献中确定了四个广泛的主题：（i）老年医学知识的提高，（ii）技术和非技术技能的提高，（iii）对临床和非临床技能更有信心，以及（iv）学习者对模拟作为一种学习教学法的看法。
模拟患者在改善老年护理教育方面可能具有潜力。学生们普遍喜欢这种学习方法，认为它引人入胜且通过实践易于学习。未来的研究可以考虑让模拟患者参与当前或未来医护专业人员的老年护理教学法。
